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Sleep Disorders in Aboriginal and Torres Strait Islander People and Residents of Regional and Remote Australia.
Woods, Cindy E; McPherson, Karen; Tikoft, Erik; Usher, Kim; Hosseini, Fariborz; Ferns, Janine; Jersmann, Hubertus; Antic, Ral; Maguire, Graeme Paul.
Afiliación
  • Woods CE; College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
  • McPherson K; Centre for Nursing and Midwifery Research, James Cook University, Cairns, Queensland, Australia.
  • Tikoft E; Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
  • Usher K; Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
  • Hosseini F; Centre for Nursing and Midwifery Research, James Cook University, Cairns, Queensland, Australia.
  • Ferns J; Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
  • Jersmann H; Cairns Hospital, Cairns, Queensland, Australia.
  • Antic R; Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
  • Maguire GP; Royal Adelaide Hospital, Adelaide, South Australia, Australia.
J Clin Sleep Med ; 11(11): 1263-71, 2015 Nov 15.
Article en En | MEDLINE | ID: mdl-26094934
STUDY OBJECTIVES: To compare the use of sleep diagnostic tests, the risks, and cofactors, and outcomes of the care of Indigenous and non-indigenous Australian adults in regional and remote Australia in whom sleep related breathing disorders have been diagnosed. METHODS: A retrospective cohort study of 200 adults; 100 Aboriginal and Torres Strait Islander and 100 non-indigenous adults with a confirmed sleep related breathing disorder diagnosed prior to September 2011 at Alice Springs Hospital and Cairns Hospital, Australia. RESULTS: Results showed overall Indigenous Australians were 1.8 times more likely to have a positive diagnostic sleep study performed compared with non-indigenous patients, 1.6 times less likely in central Australia and 3.4 times more likely in far north Queensland. All regional and remote residents accessed diagnostic sleep studies at a rate less than Australia overall (31/100,000/y (95% confidence interval, 21-44) compared with 575/100,000/y). CONCLUSION: The barriers to diagnosis and ongoing care are likely to relate to remote residence, lower health self-efficacy, the complex nature of the treatment tool, and environmental factors such as electricity and sleeping area. Indigeneity, remote residence, environmental factors, and low awareness of sleep health are likely to affect service accessibility and rate of use and capacity to enhance patient and family education and support following a diagnosis. A greater understanding of enablers and barriers to care and evaluation of interventions to address these are required. COMMENTARY: A commentary on this article appears in this issue on page 1255.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Sueño-Vigilia / Nativos de Hawái y Otras Islas del Pacífico Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: J Clin Sleep Med Año: 2015 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Sueño-Vigilia / Nativos de Hawái y Otras Islas del Pacífico Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: J Clin Sleep Med Año: 2015 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos